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Organization
SPECTRUM HEALTH WORTH SERVICES
Active
Organization
SPECTRUM HEALTH WORTH SERVICES
Active
Other names
Spectrum Health Neuro Rehab Services-Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE J OBERST CPA (SHCC/DIRECTOR OF FINANCE)
(616) 486-2405
Entity
Organization
Contact information
Practice address
4500 BRETON RD SE, SAMIL CODE 159, GRAND RAPIDS, MI 49508-5290
(616) 391-5732
(616) 391-5731
Mailing address
4500 BRETON RD SE, SAMIL CODE 159, GRAND RAPIDS, MI 49508-5290
(616) 391-5732
(616) 391-5731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
227800000X
Certified Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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